Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS has posted iQIES Minimum Data Set Frequently Asked Questions for Providers-Version 1.1 with a date of June 1, 2023. Here is the Table of Contents for this 7-page FAQ document:
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FY 2024 SNF VBP Program June 2023 Quarterly Reports are Now Available
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The June 2023 Quarterly Confidential Feedback Reports for the fiscal year (FY) 2024 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program are now available to download via the Internet Quality Improvement and Evaluation System (iQIES). These reports contain facility and stay-level data for the SNF 30-Day…… Continue reading FY 2024 SNF VBP Program June 2023 Quarterly Reports are Now Available
Medicare Paid Millions More for Physician Services at Higher Non-Facility Rates Rather Than at Lower Facility Rates While Enrollees Were Inpatients of Facilities
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The OIG posted the results of this physician services audit – same title as this blog – on May 30, 2023. The 32-page complete report is found here. The Report in Brief is found here. Medicare pays practitioners for physician services separately from the payments it…… Continue reading Medicare Paid Millions More for Physician Services at Higher Non-Facility Rates Rather Than at Lower Facility Rates While Enrollees Were Inpatients of Facilities
Five-Star State Level Cut Point Table Updated May 2023
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS has posted the Five-Star State Level Cut Point Table for May 2023. The Centers for Medicare & Medicaid Services (CMS) has enhanced its Nursing Home Compare public reporting site to include a set of quality ratings for each nursing home that participates in Medicare or…… Continue reading Five-Star State Level Cut Point Table Updated May 2023
UPDATED RESOURCE AVAILABLE: Introduction to the Hospice Quality Reporting Program (HQRP) Web-Based Training
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The Introduction to the HQRP Web-Based Training is a two-part training series for Hospice providers. Course 1: Getting Started with the HQRP and Public Reporting Provides a general overview of the HQRP and reviews the program’s use of three data sources: The Hospice Item Set (HIS),…… Continue reading UPDATED RESOURCE AVAILABLE: Introduction to the Hospice Quality Reporting Program (HQRP) Web-Based Training
Discharge from Inpatient Facilities to Home-Based Settings for Medicaid Participants: Public Comment Framing Document
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The Lewin team, on behalf of the Centers for Medicare & Medicaid Services (CMS), seeks stakeholder comments on the following concept under development: TITLE: Discharge from Inpatient Facilities to Home for Medicaid Participants DESCRIPTION: This concept assesses the percentage of discharges of Medicaid participants 18 years…… Continue reading Discharge from Inpatient Facilities to Home-Based Settings for Medicaid Participants: Public Comment Framing Document
July 2023 Quarterly Update to Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare May 26, 2023 … July 2023 Quarterly Update to Healthcare Common Procedure Coding System Codes Used for SNF Consolidated Billing was posted with this notification: Transmittal 12052 issued May 18, 2023, is being rescinded and replaced by Transmittal 12062, dated May 26, 2023 to correct the…… Continue reading July 2023 Quarterly Update to Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement
SNF Virtual Training Program – MDS 3.0 v1.18.11 Available
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS has uploaded Parts 1 & 2 of the SNF Virtual Training Program for the MDS 3.0 v1.18.11. This presentation describes the framework of the Skilled Nursing Facility MDS 3.0 RAI v1.18.11 Guidance Training Program (Parts 1 and 2). Instructions for completing the recorded sessions and…… Continue reading SNF Virtual Training Program – MDS 3.0 v1.18.11 Available
Appendix B – RAI Manual: May 2023 Update
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On Wednesday, May 24, 2023, CMS posted the May Update of Appendix B to the RAI 3.0 User’s Manual to convey the changes to the list of State RAI Coordinators, MDS Automation Coordinators, RAI Panel members, and CMS locations and contacts. The following are those Changes to…… Continue reading Appendix B – RAI Manual: May 2023 Update
July 2023 Quarterly Update to Healthcare Common Procedure Coding System (HCPCS) Codes Used for SNF Consolidated Billing Enforcement
Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The purpose of this Change Request (CR) – 12052 is to provide updates to the lists of HCPCS codes that are subject to the consolidated billing provision of the SNF Prospective Payment System (PPS). Changes to Current Procedural Terminology/Healthcare Common Procedure Coding System (CPT/HCPCS) codes and…… Continue reading July 2023 Quarterly Update to Healthcare Common Procedure Coding System (HCPCS) Codes Used for SNF Consolidated Billing Enforcement
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